Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis
Abstract: Introduction: The spondylolisthesis means anterior or posterior translation of the cephalad vertebra relative to the adjacent caudal vertebra. These patients with grade I-IV spondylolisthesis are treated initially by conservative measures, failing which surgical intervention is mandato...
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| Language: | English |
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Tehran University of Medical Sciences
2025-03-01
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| Series: | Journal of Orthopedic and Spine Trauma |
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| Online Access: | https://jost.tums.ac.ir/index.php/jost/article/view/638 |
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| author | Hindalahally Krishnegowda Karthik Tushar V Ubale Mahesh B Shinde Mihir R Patel Atharva Sharma Kshitij Sarwey Vinod Bhuktar Sanket Jethliya Naman Khurana Tej Bopardikar Vedita Bapat Manni Dwivedi |
| author_facet | Hindalahally Krishnegowda Karthik Tushar V Ubale Mahesh B Shinde Mihir R Patel Atharva Sharma Kshitij Sarwey Vinod Bhuktar Sanket Jethliya Naman Khurana Tej Bopardikar Vedita Bapat Manni Dwivedi |
| author_sort | Hindalahally Krishnegowda Karthik |
| collection | DOAJ |
| description |
Abstract:
Introduction: The spondylolisthesis means anterior or posterior translation of the cephalad vertebra relative to the adjacent caudal vertebra. These patients with grade I-IV spondylolisthesis are treated initially by conservative measures, failing which surgical intervention is mandatory. The spectrum of available surgical options includes pars repair in spondylosis, instrumented in situ fusion, instrumented reduction and fusion, or instrumented in situ fusion which may be a posterior, posterolateral, anterior, or circumferential fusion that could be achieved by a variety of techniques. The main aim of this study is to evaluate the functional outcomes in these patients.
Method: This retrospective observational study, over 26 months, involved 30 diagnosed cases of low-grade spondylolisthesis conducted at a tertiary care center. After surgery the clinical evaluation was done with physical examination and visual analogue scale the functional outcome was evaluated by the Modified Oswestry Disability Index (ODI) at regular intervals.
Results: When the preoperative mean VAS score was compared statistically with the follow-up VAS score, a statistically significant difference was found except at 1 month as p<0.01. At 6 months, 12 months, and 24 months follow-up, the mean ODI score was 34.69 ± 5.17, 21.72 ± 5.8 and 12.51 ± 2.9 respectively. When the preoperative mean ODI score was compared statistically with the follow-up ODI score, a statistically significant difference was found except at 1 month as p<0.01.
Conclusion: This study concludes that there is an obvious improvement in ODI scores in an instrumented group of spondylolisthesis patients. Hence, the surgery is an excellent choice with good functional results in adults with grade I-IV spondylolisthesis.
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| format | Article |
| id | doaj-art-147e7e21715e4c40bfdc66886b08d9be |
| institution | OA Journals |
| issn | 2538-2330 2538-4600 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Orthopedic and Spine Trauma |
| spelling | doaj-art-147e7e21715e4c40bfdc66886b08d9be2025-08-20T01:57:40ZengTehran University of Medical SciencesJournal of Orthopedic and Spine Trauma2538-23302538-46002025-03-0111110.18502/jost.v11i1.18009Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective AnalysisHindalahally Krishnegowda Karthik0Tushar V Ubale1Mahesh B Shinde2Mihir R Patel3Atharva Sharma4Kshitij Sarwey5Vinod Bhuktar6Sanket Jethliya7Naman Khurana8Tej Bopardikar9Vedita Bapat10Manni Dwivedi11Junior Resident, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraAssociate Professor, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraSenior resident, H.B.T Medical college and Dr R.N. Cooper hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraAssociate Professor, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraJunior Resident, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraJunior resident H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraJunior Resident, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraJunior resident H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraMedical Student, H.B.T Medical college and Dr R.N. Cooper hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraMedical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraMedical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, MaharashtraMedical Student, H.B.T Medical College and Dr R.N. Cooper Hospital Bhaktivedanta Swami Road Mumbai Juhu Mumbai, Maharashtra Abstract: Introduction: The spondylolisthesis means anterior or posterior translation of the cephalad vertebra relative to the adjacent caudal vertebra. These patients with grade I-IV spondylolisthesis are treated initially by conservative measures, failing which surgical intervention is mandatory. The spectrum of available surgical options includes pars repair in spondylosis, instrumented in situ fusion, instrumented reduction and fusion, or instrumented in situ fusion which may be a posterior, posterolateral, anterior, or circumferential fusion that could be achieved by a variety of techniques. The main aim of this study is to evaluate the functional outcomes in these patients. Method: This retrospective observational study, over 26 months, involved 30 diagnosed cases of low-grade spondylolisthesis conducted at a tertiary care center. After surgery the clinical evaluation was done with physical examination and visual analogue scale the functional outcome was evaluated by the Modified Oswestry Disability Index (ODI) at regular intervals. Results: When the preoperative mean VAS score was compared statistically with the follow-up VAS score, a statistically significant difference was found except at 1 month as p<0.01. At 6 months, 12 months, and 24 months follow-up, the mean ODI score was 34.69 ± 5.17, 21.72 ± 5.8 and 12.51 ± 2.9 respectively. When the preoperative mean ODI score was compared statistically with the follow-up ODI score, a statistically significant difference was found except at 1 month as p<0.01. Conclusion: This study concludes that there is an obvious improvement in ODI scores in an instrumented group of spondylolisthesis patients. Hence, the surgery is an excellent choice with good functional results in adults with grade I-IV spondylolisthesis. https://jost.tums.ac.ir/index.php/jost/article/view/638Degenerativespondylolisthesisprogressionlumbosacral junction |
| spellingShingle | Hindalahally Krishnegowda Karthik Tushar V Ubale Mahesh B Shinde Mihir R Patel Atharva Sharma Kshitij Sarwey Vinod Bhuktar Sanket Jethliya Naman Khurana Tej Bopardikar Vedita Bapat Manni Dwivedi Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis Journal of Orthopedic and Spine Trauma Degenerative spondylolisthesis progression lumbosacral junction |
| title | Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis |
| title_full | Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis |
| title_fullStr | Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis |
| title_full_unstemmed | Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis |
| title_short | Surgical Outcomes Following Instrumented Fusion in Low-Grade Spondylolisthesis: A 26-Month Retrospective Analysis |
| title_sort | surgical outcomes following instrumented fusion in low grade spondylolisthesis a 26 month retrospective analysis |
| topic | Degenerative spondylolisthesis progression lumbosacral junction |
| url | https://jost.tums.ac.ir/index.php/jost/article/view/638 |
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